Jammed Finger: Orthopedic Treatment

by Administrator 12. September 2017 17:39

A Jammed Finger is a medical condition that affects the PIP (proximal interphalangeal) joint. The PIP joint is a type of hinge joint that allows the finger to move. In this condition, the tendon that straightens the fingertip is either stressed or broken. It is a type of sprain that occurs in the finger joints or knuckles. In such injuries, there are chances of a piece of bone being broken or detached from the joint along with the tendon. The condition can be treated through non-surgical methods but it takes 6-8 weeks to heal. Wrong diagnosis or delay in treatment may result in permanent disability.

Causes

  • Athletes are at a greater risk of developing this condition as they indulge in games that involve handling the ball- volleyball, basketball etc. Hitting the ball may push the fingertip towards the hand which stretches the ligaments and results in sprain or tearing
  • Joint fracture
  • Dislocation of the bones
  • Damage to the ligaments and tendons caused by stress to the fingers of knuckles

Symptoms

  • Swelling around the injured finger
  • The fingertip may start dropping downwards
  • Difficulty in straightening or moving the finger
  • Redness
  • Pain which can be considerable
  • The finger may go numb
  • Discoloration (finger may turn blue or white)
  • Tingling sensation in the hand and finger
  • The hand or finger may turn cold
  • There may be blood deposits under the finger nail
  • Loss of finger grip
  • Inability to write or type

Diagnosis

  • Physical observation of the injured finger
  • X-ray imaging
  • MRI or CT scan may be required in some cases

Treatment

  • Use of ice packs regularly at short intervals may be recommended to reduce pain and inflammation
  • The doctor may recommend use of a splint or buddy taping to immobilize and support the injured finger. It is generally worn for 6-8 weeks. The finger is straightened in the process
  • Rest the injured hand by keeping it elevated on cushions and pillows
  • Manual adjustment of the jammed finger by the doctor may be done. This results in a popping sound that may be felt as the bone is reset into its normal position
  • Surgery may be required in case the ligament is badly torn or there is a fracture in the knuckles

Consult the hand specialists at OrthoTexas for treatment of Jammed Finger and other orthopedic conditions. For an appointment, call at (214) 436 – 8997 or visit 2601 Avenue of the Stars, Suite 300, Frisco, TX 75034.

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Thumb Fractures: Causes, Symptoms And Treatment

by Administrator 21. March 2017 12:08

The thumb has two bones - the distal phalange placed between the tip and the knuckle; and the proximal phalange extending between the knuckle and the base. The first metacarpal connects the thumb to the hand. A break or a crack in any of these bones is called the thumb fracture. The chances of developing Arthritis in the hand increases once the thumb gets fractured. The most difficult situation occurs when the bone near the base of the thumb breaks. The amount of time taken to treat the fractured thumb depends on the severity of the condition and it may take up to 3 months for it to heal completely.

Causes

  • Falling on an outstretched hand
  • Sports injuries (while catching or throwing a ball)
  • Contact sports such as wrestling and other sports like skiing or hockey may cause sudden muscle contractions, twisting and catching of the thumb
  • Occurrence of a bone disease increases the risk of fracture
  • Lack of calcium in the body may weaken the bones

Symptoms

  • Considerable amount of pain at the point of fracture
  • Swelling in the hand
  • Redness or discoloration
  • The joint may feel tender when touched
  • Limited ability to move the hand and thumb
  • Inability to grasp objects
  • Visibly deformed thumb
  • Numbness in the hand
  • The thumb may turn cold due to lack of blood supply

Diagnosis

  • Detailed assessment of the mode of injury besides the symptoms reported by the patient
  • The doctor may palpate the injured hand to diagnose the severity of damage and check for loss of sensation
  • X-ray examination may be required to study the level of bone damage and find the exact location of fracture
  • The doctor may also check the arm and other parts of the hand to see if they have suffered any additional damage

Treatment

  • Following a healthy diet to compensate for the loss of calcium and minerals in the body improves bone health
  • Use of protective tape to hold the thumb in place allows the joint to recover
  • Use of padded splint to prevent the thumb from moving or getting injured
  • Recommended use of a thumb spica-cast for a couple of weeks in case the middle part of the bone has been damaged
  • Surgical insertion of wires and pins to hold the bone in place and allow healing. This is called internal reduction
  • External fixation- in some cases, the bone may be held in place using pins and screws that are attached to an external device
  • A customized hand therapy program needs to be followed post-surgery or when the cast is removed to restore strength and function

Visit OrthoTexas for treatment of thumb fractures. The orthopedic doctors in Plano use advanced procedures to provide relief from hand and wrist pain. For an appointment, call at (972) 985 - 1072.

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